Provider Demographics
NPI:1447346671
Name:C & A MEDICAL, INC.
Entity type:Organization
Organization Name:C & A MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLAN-GROEBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-928-4116
Mailing Address - Street 1:PO BOX 1295
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36533-1295
Mailing Address - Country:US
Mailing Address - Phone:251-928-4116
Mailing Address - Fax:251-928-2327
Practice Address - Street 1:456 N SECTION ST
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-2614
Practice Address - Country:US
Practice Address - Phone:251-928-4116
Practice Address - Fax:251-928-2327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL216332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00440178Medicaid
AL57133OtherBLUE CROSS
LA1982628Medicaid
IL=========TOtherBLUE CROSS OF IL
MS00440178Medicaid
MS00440178Medicaid